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NPI 1184745200

NPI 1184745200 : WENDY MONROY : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1184745200
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    Entity Type          |    Individual 
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    Provider Name        |    WENDY MONROY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/03/2007
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    Last Update Date     |    05/30/2012
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Provider Practice Location Address
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    Address Line         |    5757 WILSHIRE BLVD STE 635 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90036-3686
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    Country              |    US
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    Telephone            |    323-931-6025
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5757 WILSHIRE BLVD, SUITE 635 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90036
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    Country              |    US
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    Telephone            |    323-931-6025
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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